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Heart 1999;81:313-315 ( March )

Case studies

Tachyarrhythmias triggered by swallowing and belching P T Wilmshurst

The Royal Shrewsbury Hospital, Mytton Oak Road, Shrewsbury SY3 8XQ, UK

Correspondence to: Dr Wilmshurst.


Accepted for publication 10 August 1998

Three cases with supraventricular tachyarrhythmias related to oesophageal transit are reported. A 61 year old man had episodes of atrial tachycardia on each swallow of food but not liquid; this has been reported only rarely. A 55 year old man had atrial fibrillation initiated by drinking ice cold beverages; this has not been described previously although atrial tachycardia triggered by drinking ice cold beverages has been described once. A 68 year old man had supraventricular tachycardia initiated by belching; this has not been described previously. These cases illustrate the diversity of atrial tachyarrhythmias that can be precipitated by oesophageal stimulation and suggest that what is regarded as a very rare phenomenon may be found more commonly when sought.

Keywords: atrial tachycardia; atrial fibrillation; deglutition; eructation; arrhythmias


© 1999 by Heart






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